NC0051969_Renewal (Application)_20160802

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Wren Thedford August 2,2016
NC DENR/DWR/NPDES UNIT
1617 Mail Service Center
Raleigh,NC 27699-1617
Re: Request for Renewal Privately-Own Treatment System
Dear Wren Thedford:
By this letter we are requesting that our treatment system under NPDES Permit number NCOO
51669 be approved for operation. Attached is our NPDWS Application—Form D for your
review and approval.
.Resfully,
Charles refzger, Jr
Owner
Office—828-322-5535 FAX—828-322-3897

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TO Box2568
Wz-c(gry, NC 28603-2568
Wren Thedford August 2,2016
NC DENR/DWR/NPDES UNIT
1617 Mail Service Center
Raleigh,NC 27699-1617
Re: Sludge Management Plan
Dear Wren Thedford:
Castle Creek's sludge is concentrated in the digested tank of the WWTP. We have a contract
with Lewis Farms & Liquid Waste, Inc. for Waste disposal and Waste Water Treatment Plant
cleaning.
Respe [fµlly,
Charles E.T fzger,Jr
Owner
Office—828-322-5535 FAX—828-322-3897

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic Wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR/ Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit COO 51669
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box Otherudse,please print or type.
1. Contact Information:
Owner Name Charles E. Trefzger, Jr.
Facility Name Castle Creek
Mailing Address PO Box 2568
City Hickory
State / Zip Code North Carolina 28603
Telephone Number _(828 )322-5535
Fax Number ( 828 ) 322-3897
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑ J
Street Address or State Road 4724 Castle Hayne Road
City Castle Hayne I
State / Zip Code North Carolina 28429
County New Hanover County
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Affinity Living Group
Mailing Address PO Box 2568
City Hickory
State / Zip Code North Carolina 28603
Telephone Number ( 828) 322-5535
Fax Number ( 828 ) 322-3897
e-mail Address [e-mail]
1 of 3 Foon-011112

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply}
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential ❑ Number of Homes
School ❑ Number of Students/Staff
Other ® Explain: Memory Care/Assisted Living
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Number of persons served: _
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (NEW applicants:Provide a map shouring the exact location of each
outfallf.
Prince George Creek
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
WWTP: - Influent lift station
Dual Pumps
12,000 GPD aeration basin
Dual hopper clarifiers
(1) Mico screen drum filer
WTP: - (2) Media filters for iron removal
ion exchange unit
Backwash storage tank
Potable water storage tank
2 of 3 Form-011112

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.012 MGD
Annual Average daily flow 0.0036 MGD (for the previous 3 years)
Maximum dally flow 0.0114 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLICAM'8:Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used If mare than one analysis is reported,
report dally maximum and monthly average.If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading(Daily Maximum)and Monthly Average over
the past 36 months for parameters cu _t1irintiourperinit. Mark other ammeters `N/A`.
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BODS) >69 7,3 mg/L
Fecal Coliform > 12,000 56 CFU
Total Suspended Solids 92,3 31.7
Temperature (Summer) 32 29.5 0
Temperature (Winter) 22 17 0
pH 8.9 N/A S.0
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste(RCRA) N/A NESHAPS (CAA) N/A
u1C(SDWA) N/A Ocean Dumping(MPRSA) N/A
NPDES NC 0051969 Dredge or rill (Section 404 or CWA) N/A
PSD(CAA) N/A Other
Non-attainment program(CAA) N/A
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Charles E. Tr ,z er, J . Owner
I
am of rson i Title
0 3 ty
e of Applicant Date
a General Statute 143215.6 (b)(2)states: Any person who knovAngly makes any false statement representation, or cedfication in any
application, record, report,plan,or other document flies or required to be maintained under Article 21 or regulations of the Environmental Management
Comndsslon implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or mondodng device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implemenfing that Article,shall be
guilty of a misdemeanor punishable by a fine not to exceed$25,000,or by imprisonment not to exceed six months,or by both. (18 U.S.C.Section 1001
provides a punishment by a fine of W more than$25,000 or imprisonment not more than 5 years,or bath,for a similar offense.)
3 of 3 Form-011/12